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1081701

registered interest
date	04/03/2019
answering body	Department for International Trade
answering dept id	202
answering dept short name	International Trade
answering dept sort name	International Trade
hansard heading	Overseas Trade: Saudi Arabia
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for International Trade, what assessment he has made of Saudi Arabia's record on the maintenance of human rights in determining his policy on future trade with Saudi Arabia.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	227994
answer	answer is ministerial correction date of answer 12/03/2019 answer text <p>This Government frequently discusses human rights and raises concerns with the Saudi Arabian Government. No aspect of our commercial relationship with Saudi Arabia prevents us from speaking frankly and openly about human rights and we use our engagement to encourage reform. We do not pursue trade to the exclusion of human rights.</p> answering member constituency Meon Valley answering member printed George Hollingbery question first answered 12/03/2019 11:08:28 answering member 4016 label Biography information for Sir George Hollingbery
tabling member	4131 label Biography information for Jim Shannon

1081702

registered interest
date	04/03/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Diabetes
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what assessment he has made of the potential merits of NICE guidance on timelines for hyperglycaemia before the provision of additional treatment in order to reduce clinical inertia among type 1 diabetes patients.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	227995
answer	answer is ministerial correction date of answer 12/03/2019 answer text <p>No such assessment has been made.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 12/03/2019 16:26:30 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

1081703

registered interest
date	04/03/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Diabetes
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps are being taken to (a) improve insulin initiation in primary care throughout Northern Ireland and (b) reduce clinical inertia among type 1 diabetes patients.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	227996
answer	answer is ministerial correction date of answer 12/03/2019 answer text <p>As health is a devolved matter, it would be for the relevant Department in Northern Ireland to provide information on the improvement of insulin initiation in primary care throughout Northern Ireland.</p><p>Clinical inertia does not arise in the same way for type 1 diabetes or have the same known body of evidence as that for type 2 diabetes. People with type 1 diabetes require standard treatment with insulin and doses will be adjusted as appropriate to the clinical presentation.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 12/03/2019 16:28:44 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

1081705

registered interest
date	04/03/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Diabetes
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps are being taken to (a) help people with diabetes recognise the symptoms of hypoglycaemia and (b) reduce the incidence of hypoglycaemia among those people.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	227998
answer	answer is ministerial correction date of answer 12/03/2019 answer text <p>NHS England issued advice in January 2018 to support specialist diabetes staff and primary care staff to effectively manage and support relevant type 1 diabetes patients to avoid and reduce the incidence of hypoglycaemia. The advice can be accessed at the following link:</p><p><a href="https://www.england.nhs.uk/publication/blood-glucose-monitoring-systems/" target="_blank">https://www.england.nhs.uk/publication/blood-glucose-monitoring-systems/</a></p><p>From April 2019 flash glucose monitors will be available on prescription for every patient who qualifies for them, in line with National Health Service clinical guidelines. NHS England has put in place national arrangements for funding of flash glucose monitoring sensors for relevant diabetes patients which includes detailed eligibility criteria.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 12/03/2019 16:27:33 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

1081708

registered interest
date	04/03/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Diabetes
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what assessment he has made of the effect of the Diabetes Transformation Fund on the (a) treatment and (b) care of people with (i) type 1 and (ii) type 2 diabetes.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	228001
answer	answer is ministerial correction date of answer 12/03/2019 answer text <p>£40 million of transformation funding was made available to improve the treatment and care of people with type 1 and type 2 diabetes in England in 2017/18 and 2018/19. This investment funds 180 projects focused on improving patient outcomes.</p><p> </p><p>These interventions were selected because evidence indicated that, over time, they should improve outcomes, reduce costs and over the longer term become positively cost-saving:</p><p>- £18.9 million (cumulative) has been made available to put in place 41 new or expanded multidisciplinary footcare teams, reducing the risk of people with ulcers or other diabetes foot disease from having an amputation;</p><p> </p><p>- £9.8 million (cumulative) has been made available to put in place 30 new or expanded diabetes inpatient specialist nurse teams, reducing the lengths of hospital stays for people with diabetes through reducing medication errors and advising on effective treatment;</p><p> </p><p>- £20.7 million (cumulative) has been made available to 133 clinical commissioning groups (CCGs) who are offering expanded numbers of structured education places to support people newly diagnosed with diabetes to understand how to look after themselves well; and</p><p> </p><p>- £27.8 million (cumulative) has been made available to 108 CCGs to support general practice to increase the number of people who achieve the diabetes treatment targets (HbA1c, blood pressure and cholesterol) and so reduce the risks of complications developing.</p><p> </p><p>NHS England is taking steps to evaluate the impact of the programme.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 12/03/2019 16:29:57 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

1081711

registered interest
date	04/03/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Vaccination
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether the Government is on course to meet its annual immunisation targets for at-risk groups in 2019.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	228003
answer	answer is ministerial correction date of answer 12/03/2019 answer text <p>Various at-risk groups are immunised with an influenza vaccine and/or a pneumococcal-polysaccharide-vaccine (PPV).</p><p> </p><p>Each year influenza vaccination takes place in the autumn before influenza starts to circulate. For the 2018/19 influenza season, the targets for those aged under 65 in a clinical risk group and pregnant women was at least 55%. Provisional data for the period 1 September 2018 to 31 January 2019 indicated uptake was 46.9% for those in clinical risk groups and 45% for pregnant women in the 2018/19 season. This can be viewed at the following link:</p><p> </p><p><a href="https://www.gov.uk/government/statistics/seasonal-flu-vaccine-uptake-in-gp-patients-monthly-data-2018-to-2019" target="_blank">https://www.gov.uk/government/statistics/seasonal-flu-vaccine-uptake-in-gp-patients-monthly-data-2018-to-2019</a></p><p> </p><p>There are no formal coverage targets for PPV. PPV coverage estimates are published annually. The next report will be published in May 2019 and will include data for the period April 2018 – March 2019.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 12/03/2019 16:25:02 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

1081712

registered interest
date	04/03/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Vaccination
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps the Government is taking to improve vaccination coverage rates throughout the UK.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	228004
answer	answer is ministerial correction date of answer 12/03/2019 answer text <p>Public Health England, in partnership with NHS England and the Department, is undertaking many steps to improve vaccination coverage in England. These steps are reviewed and monitored regularly through a regular tripartite meeting mechanism.</p><p> </p><p>These steps include initiatives to improve access to the immunisation programme; communication with the public; data to better identify underserved individuals and populations; and training for healthcare professionals. An example of this is the ‘Help Us Help You’ flu vaccination campaign which can be viewed at the following link:</p><p> </p><p><a href="https://campaignresources.phe.gov.uk/resources/campaigns/81-help-us-help-you/resources" target="_blank">https://campaignresources.phe.gov.uk/resources/campaigns/81-help-us-help-you/resources</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 12/03/2019 16:24:10 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

1081713

registered interest
date	04/03/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Influenza: Vaccination
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, if he will make an assessment of the reasons why uptake rates among groups eligible for the free influenza vaccine are low.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	228005
answer	answer is ministerial correction date of answer 12/03/2019 answer text <p><strong></strong>Provisional data for flu season 2018-19 (autumn to spring) shows that flu vaccine uptake in those aged 65 and over is at similar levels to previous years and close to the World Health Organization target of 75%.</p><p> </p><p>Vaccine uptake in the children’s programme is at the highest level since the introduction of the programme for two and three-year olds vaccinated in general practice and for children offered the vaccine in primary school.</p><p> </p><p>For pregnant women and for those in at risk groups eligible for flu vaccine, the vaccination uptake is slightly lower compared to last year. There are many reasons for this. Many patients do not appreciate how serious flu can be and the importance of protecting themselves.</p><p> </p><p>Provisional data can be viewed at the following link:</p><p> </p><p><a href="http://www.gov.uk/government/collections/vaccine-uptake" target="_blank">www.gov.uk/government/collections/vaccine-uptake</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 12/03/2019 16:22:58 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

1081714

registered interest
date	04/03/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Vaccination: Health Professions
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps he is taking to increase vaccination uptake rates among healthcare professionals.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	228006
answer	answer is ministerial correction date of answer 12/03/2019 answer text <p>Frontline healthcare workers are offered flu vaccination by their employer, with a financial incentive for National Health Service trusts to achieve high uptake through a Commissioning for Quality and Innovation target. This can be viewed at the following link:</p><p> </p><p><a href="http://www.england.nhs.uk/nhs-standard-contract/cquin/" target="_blank">www.england.nhs.uk/nhs-standard-contract/cquin/</a></p><p> </p><p>This year, the ambition was that 100% of staff were vaccinated with those who declined were asked to sign an anonymised opt-out form stating the reason. Staff who worked in high risk areas had to confirm their vaccination status to senior management. This winter, provisional flu vaccine uptake data for healthcare workers shows slightly higher uptake than last year and is the highest level since the programme began. This can be viewed at the following link:</p><p> </p><p><a href="http://www.gov.uk/government/statistics/seasonal-flu-vaccine-uptake-in-healthcare-workers-monthly-data-2018-to-2019" target="_blank">www.gov.uk/government/statistics/seasonal-flu-vaccine-uptake-in-healthcare-workers-monthly-data-2018-to-2019</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 12/03/2019 16:16:15 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

1081715

registered interest
date	04/03/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Influenza: Vaccination
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps he is taking increase vaccination uptake rates among carers.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	228007
answer	answer is ministerial correction date of answer 12/03/2019 answer text <p>Unpaid carers who are in receipt of a carer’s allowance, or who are the main carer of an older or disabled person whose welfare may be at risk if the carer falls ill, are eligible for a free flu vaccine.</p><p> </p><p>They can get their vaccine from their general practitioner (GP) or pharmacy. Every year the Chief Medical Officer writes to third sector organisations representing carers to ask them to encourage their members to get vaccinated.</p><p> </p><p>Flu vaccination is also recommended for frontline social care workers to help protect staff and those that they care for. In addition to occupational health schemes in place locally, frontline social care workers who work directly with vulnerable clients are eligible to receive flu vaccine from their GP or pharmacy in a scheme funded by NHS England.</p><p> </p><p>Public Health England monitors the vaccine uptake for the flu programme for carers.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 12/03/2019 16:21:10 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon